Kodi Vaginal Prolapse ndi chiyani?

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Kodi azimayi ena ali pachiwopsezo chachikulu?
• Kodi amapezeka bwanji?
• Ndi mankhwala ati omwe alipo?
• Zosankha zothandizira
• Opaleshoni
• Kodi ndizovuta ziti zomwe zingachitike?
• Zomwe muyenera kuyembekezera

Chidule

Kuchuluka kwa nyini kumachitika pamene minofu yomwe imathandizira ziwalo zam'chiuno mwa mayi imafooka. Kufooka kumeneku kumalola kuti chiberekero, urethra, chikhodzodzo, kapena rectum igwere mpaka kumaliseche. Ngati minofu ya m'chiuno imafooka mokwanira, ziwalozi zimatha kutuluka kumaliseche.

Pali mitundu ingapo yopitilira muyeso:

• Kupititsa patsogolo kwa nyini (cystocele kapena urethrocele) kumachitika pamene chikhodzodzo chigwera mumaliseche.
• Kukula kwakumbuyo kwapambuyo (rectocele) ndipamene khoma lomwe limalekanitsa rectum ndi nyini limafooka. Izi zimathandiza kuti rectum ifike mu nyini.
• Kuphulika kwa chiberekero ndi pomwe chiberekero chimatsikira mpaka kumaliseche.
• Apical prolapse (vaginal vault prolapse) ndipamene khomo pachibelekeropo kapena kumtunda kwa nyini kumatsikira kumaliseche.

Zizindikiro zake ndi ziti?

Nthawi zambiri azimayi samakhala ndi zidziwitso zilizonse kuchokera pakuchuluka kwamaliseche. Ngati muli ndi zizindikilo, zizindikilo zanu zimadalira limba lomwe lachedwa.

Zizindikiro zimatha kuphatikiza:

• kumva kwodzaza mu nyini
• chotupa potsegulira nyini
• kumverera kwa kulemera kapena kupanikizika m'chiuno
• kumverera ngati kuti "wakhala pa mpira"
• kupweteka kwa msana kwanu komwe kumachira mukamagona pansi
• kufunika kokodza nthawi zambiri kuposa masiku onse
• kuvuta kukhala ndi matumbo athunthu kapena kutulutsa chikhodzodzo
• pafupipafupi matenda a chikhodzodzo
• kutuluka mwazi kuchokera kumaliseche
• kutuluka mkodzo ukatsokomola, kupopera, kuseka, kugonana, kapena kuchita masewera olimbitsa thupi
• zowawa panthawi yogonana

Zimayambitsa chiyani?

Nyundo ya minofu, yotchedwa minofu ya m'chiuno, imathandizira ziwalo zanu zam'mimba. Kubereka kumatha kutambasula ndikuchepetsa minofu imeneyi, makamaka ngati munali ndi vuto lobereka.

Kukalamba ndi kutayika kwa estrogen panthawi ya kusintha kwa thupi kumatha kufooketsa minofu imeneyi, kulola ziwalo zam'mimba kugwera pansi kumaliseche.

Zina mwazomwe zimachulukitsa ukazi ndizo:

• kutsokomola kosalekeza ndi matenda am'mapapo
• kupanikizika kuchokera kunenepa kwambiri
• kudzimbidwa kosalekeza
• kunyamula zinthu zolemera

Kodi azimayi ena ali pachiwopsezo chachikulu?

Mutha kukhala ndi vuto lakumaliseche ngati:

• anali ndi ziwalo zoberekera, makamaka zovuta
• adutsa kusamba
• kusuta
• onenepa kwambiri
• kutsokomola kwambiri kuchokera ku matenda am'mapapo
• Amadzimbidwa nthawi zonse ndipo amayenera kuvutika kuti ayambe kuyenda
• anali ndi wachibale, monga mayi kapena mlongo, yemwe amabwerera m'mbuyo
• nthawi zambiri amanyamula zinthu zolemetsa
• ali ndi fibroids

Kodi amapezeka bwanji?

Kuphulika kwa ukazi kumatha kupezeka kudzera pamayeso am'mimba. Mukamayesa mayeso, dokotala wanu akhoza kukufunsani kuti mukhale pansi ngati kuti mukuyesera kutulutsa matumbo.

Dokotala wanu amathanso kukupemphani kuti mumange ndi kumasula minofu yomwe mungagwiritse ntchito kuyimitsa ndikuyamba kutuluka kwa mkodzo. Kuyesaku kumayang'ana mphamvu ya minofu yomwe imathandizira nyini yanu, chiberekero, ndi ziwalo zina zam'mimba.

Ngati muli ndi mavuto okodza, mungayesedwe kuti muone chikhodzodzo chanu. Izi zimatchedwa kuyesa kwa urodynamic.

• Uroflowmetry imayesa kuchuluka ndi mphamvu yamtsinje wanu.
• Cystometrogram imatsimikizira kuchuluka kwa chikhodzodzo chanu musanapite kubafa.

Dokotala wanu amathanso kuyesa chimodzi kapena zingapo mwazoyeserera izi kuti ayang'ane mavuto ndi ziwalo zanu m'chiuno:

• Pelvic ultrasound. Kuyesaku kumagwiritsa ntchito mafunde akumveka kuti aone chikhodzodzo ndi ziwalo zina.
• Pelvic pansi MRI. Kuyesaku kumagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kupanga zithunzi za ziwalo zanu zam'mimba.
• Kujambula kwa CT pamimba panu ndi m'chiuno. Kuyesaku kumagwiritsa ntchito X-ray kuti apange zithunzi mwatsatanetsatane za ziwalo zanu zam'mimba.

Ndi mankhwala ati omwe alipo?

Dokotala wanu amalangiza njira zodziletsa kwambiri poyamba.

Zosankha zothandizira

Zochita zapansi pamunsi, zotchedwanso Kegels, zimalimbitsa minofu yomwe imathandizira nyini, chikhodzodzo, ndi ziwalo zina zam'mimba. Kuti muwachite:

• Finyani minofu yomwe mungagwiritse ntchito ndikutulutsa mkodzo.
• Gwirani chidule chake kwa masekondi pang'ono, kenako ndikumusiya.
• Chitani masewerawa 8 mpaka 10, katatu patsiku.

Kuti muthandizire kudziwa komwe kuli minofu yanu ya m'chiuno, nthawi yotsatira mukakodza, siyani kukodza pakati, kenako yambani, ndikuyimitsa. Gwiritsani ntchito njirayi kuti muphunzire komwe kuli minofu, sikutanthauza kukhala chizolowezi chopitilira. Pochita mtsogolo, mutha kuchita izi nthawi zina kupatula kukodza. Ngati simungapeze minofu yoyenera, wochita masewera olimbitsa thupi amatha kugwiritsa ntchito biofeedback kuti akuthandizeni kuwapeza.

Kuchepetsa thupi kungathandizenso. Kutaya kunenepa kwambiri kumatha kukupangitsani kupanikizika ndi chikhodzodzo kapena ziwalo zina zam'mimba. Funsani dokotala wanu za kulemera komwe muyenera kutaya.

Njira ina ndi pessary. Chipangizochi, chomwe chimapangidwa ndi pulasitiki kapena labala, chimalowa mkatikati mwa nyini yanu ndipo chimasunga matumba otupawo. Ndikosavuta kuphunzira momwe mungayikitsire pessary ndipo zimathandiza kupewa opaleshoni.

Opaleshoni

Ngati njira zina sizikuthandizani, mungafune kulingalira za opareshoni kuti mubwezeretse ziwalo zam'mimba ndikuzigwira pamenepo. Chidutswa cha mnofu wanu, minofu yochokera kwa woperekayo, kapena chinthu chopangidwa ndi anthu chidzagwiritsidwa ntchito kuthandizira minofu ya m'chiuno yofooka. Kuchita opaleshonoku kumatha kuchitidwa kudzera kumaliseche, kapena kudzera pazing'onoting'ono (laparoscopically) m'mimba mwanu.

Kodi ndizovuta ziti zomwe zingachitike?

Zovuta zomwe zimadza chifukwa chobadwa m'thupi mwa amayi zimadalira ziwalo zomwe zimakhudzidwa, koma zimatha kuphatikiza:

• Zilonda mumaliseche ngati chiberekero kapena khomo pachibelekeropo zitaphulika
• chiopsezo chowonjezeka cha matenda amkodzo
• kuvuta kukodza kapena kukhala ndi matumbo
• kuvuta kugonana

Zomwe muyenera kuyembekezera

Ngati muli ndi zizindikilo zakuchulukirachulukira mu nyini, kuphatikiza kudzaza m'mimba mwanu kapena chotupa kumaliseche kwanu, onani gynecologist wanu kuti akayesedwe. Matendawa siowopsa, koma atha kukhala ndi vuto pamoyo wanu.

Kuchuluka kwa nyini kumatha kuchiritsidwa. Milandu yayikulu imatha kusintha ngati mankhwala osagwiritsidwa ntchito ngati Kegel ndi kuchepa thupi. Pazovuta zazikulu, opaleshoni imatha kukhala yothandiza. Komabe, kuphulika kwa ukazi nthawi zina kumatha kubwereranso pambuyo pochitidwa opaleshoni.